12/7, Bell, AMPS 227 +2 259 +4 312 PMPS 323

Back in the sink, the goof
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Has anything else changed recently? Any chance she’s getting into contraband? I can’t remember if you have other cats and are feeding them differently. We had a member here a while back who was sure that her diabetic kitty couldn’t reach a spot where she was feeding another cat dry food. Then discovered the cat actually could get to that area. Just a thought.
 
bluesunshine said:
Yesterday

Gah!! Wrong direction Bell! Super frustrating, but also need to give this dose a few more cycles to do work. I guess she's now even bouncing at the low 200s. At this point I'd just like to get her below the renal threshold. We march on.
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Oh Bell. I hope she comes back down. Are her teeth ok per the vet??
She’s had recent labs, Seth?
I know you are frustrated.
It’s so odd how they go through these weird cycles.
She looks adorable in that sink again, btw :)
Hoping she has more :cool::Dsoon
:bighug::bighug:
 
Come on Bell.... :rolleyes: I'm sorry you need so much patience. I think Christie and Staci asked excellent questions. Hope she comes down soon! :bighug::bighug::bighug:
 
Christie & Maverick said:
Has anything else changed recently? Any chance she’s getting into contraband? I can’t remember if you have other cats and are feeding them differently. We had a member here a while back who was sure that her diabetic kitty couldn’t reach a spot where she was feeding another cat dry food. Then discovered the cat actually could get to that area. Just a thought.
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Yeah I’ve been racking my brain on something that could have caused this and the only change around that time was the pen. Blair does get dry food on an automatic feeder, but she’s on a diet and literally sprints to the dish when the noise plays and gobbles it all up. Bell doesn’t show any interest in the dry food any more. TMI, but Bell is enough of a puker with her BVS that I would also see the kibble there. I don’t think it is the dry food. I keep thinking if there’s something sugary that she could be getting into but haven’t found anything. I will keep thinking about it tho.

The strange part to me is that the Lantus now seems to spike her higher when it is nearing the peak. Like her body is reacting to any insulin by bouncing. But I know sometimes cycles can be unpredictable. Like this morning she was at 227 at AMPS, and then 262 at +2, which could have been the insulin wearing off. But more often than not, her +4 in this scenario has been in the 300s.
 
Staci & Ivy said:
Oh Bell. I hope she comes back down. Are her teeth ok per the vet??
She’s had recent labs, Seth?
I know you are frustrated.
It’s so odd how they go through these weird cycles.
She looks adorable in that sink again, btw :)
Hoping she has more :cool::Dsoon
:bighug::bighug:
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I had labs done about 6ish months ago and they were all pretty good. The teeth thing could be something. Bell has really bad teeth and has had to have some pulled. A lot of her back teeth have receded into the gums. Can teeth stuff do such strange things to a cat’s numbers? I had her yearly checkup last spring, and the vet did look at her teeth and didn’t mention the need for a dental, but maybe I should schedule something specifically for that.
 
Thank you for all the advice and kind words. If it is just the way things are for Bell, I can accept that, but I’m super paranoid I’m missing something. Much love to y’all
 
bluesunshine said:
I had labs done about 6ish months ago and they were all pretty good. The teeth thing could be something. Bell has really bad teeth and has had to have some pulled. A lot of her back teeth have receded into the gums. Can teeth stuff do such strange things to a cat’s numbers? I had her yearly checkup last spring, and the vet did look at her teeth and didn’t mention the need for a dental, but maybe I should schedule something specifically for that.
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I see the moderators talk a lot about dental causing higher BG numbers and even knocking cats out of remission.
 
Oh one more thing that is strange to me that I want to mention. Before she started in insulin, her numbers never went into the 300s. They always were high 200s at most. Is this due to her body fighting the insulin? Or is this just the diabetes getting worse?
 
I am sorry she's not going in the right direction yet, it is so frustrating!
I would say yes, her teeth can definitely be a big part of the problem. She has a constant inflammation and that tends to increase the BG levels. Does your vet do dentals? That would be a question to ask soon, it makes a huge difference.
:bighug:
 
Yes, Bell has had 2 or 3 dentals in the past and some teeth extracted during a couple of those. She has an extremely strong reaction to whatever anesthesia they gave her, where she stays awake for like 3 days straight after them. So I dread them. I may see if they have different forms of sedation if she has to have another one.
 
bluesunshine said:
Can teeth stuff do such strange things to a cat’s numbers?
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Absolutely - one of the most common reasons for soaring BG. Infection or inflammation can cause a type of insulin resistance. Can you look at her gum line and see if there is any redness? If you touch one side of her mouth or the other does she "chitter" or complain.

You might want to see if your vet can suggest a dental specialist vet. They will have more experience with kitties with other conditions (diabetes) and might use a different anaesthesia induction drug. See if you can find the old dental paperwork and if it mentions what drugs were used.
 
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